| NPI | 1881621225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL KELLY Executive Director 979-822-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-03-26 |