| NPI | 1881976264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE VILLARREAL Lpc 210-845-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 64094) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |