| NPI | 1831237346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ROSE HUTTON Administrator 361-241-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33490) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |