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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