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Organization

C2 CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON SALLEE PHD (EXECUTIVE DIRECTOR)
(512) 981-8787
Entity
Organization

Contact information

Practice address
1000 WESTBANK DR, WEST LAKE HILLS, TX 78746-6598
(512) 981-8787
Mailing address
1000 WESTBANK DR, WEST LAKE HILLS, TX 78746-6598

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/23/2017
Last updated
03/23/2017
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