| NPI | 1871911487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE M CASTILLO Clinical Social Worker 512-426-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 25468) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-09-03 |