| NPI | 1962370767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS NEWSOM Behavioral Support Specialist 830-237-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |