| NPI | 1740577113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA GUTIERREZ Director 915-542-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 16474) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |