| NPI | 1790923688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ROGERS BRINGOL Director 512-258-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 12836) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |