| NPI | 1902029200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BRESTRUP Clinical Director 512-459-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TX 66232) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-09-04 |