| NPI | 1699088633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN M AVILA AGUILAR Psy D Psychology 939-644-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-23 |