| NPI | 1922500552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON WILLIAMS Owner 210-683-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV20181145226) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |