| NPI | 1992588636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BOYLE Director, Credentialing 512-765-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-10-15 |