| NPI | 1801415450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDYCE WALKER COO, Director Of Nursing 512-669-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-01-11 |