| NPI | 1750790945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUOCHUN YANG Director 512-444-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 282N00000X General Acute Care Hospital | |
| 302F00000X Exclusive Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |