| NPI | 1871040212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN E FIGUEROA Administrator 939-244-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-02-10 |