| NPI | 1861534612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORALISA WILLIAMS Credentialing Coordinator 512-244-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: TX No License) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX No License) |
| 133V00000X Dietitian, Registered | |
| 171R00000X Interpreter | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-08-28 |