| NPI | 1912224239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY G DYKE President 512-912-6609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63364) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX 63364) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-06-08 |