| NPI | 1902037906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA JOSEFINA FUENMAYOR President 512-467-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX M9292) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |