| NPI | 1730516295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON LORRAINE BAUCOM Founder 512-537-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1-12-12198) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-02-11 |