Organization
OUT YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY WILKERSON (EXECUTIVE DIRECTOR)
(512) 419-1233
Entity
Organization
Contact information
Practice address
909 E 49TH 1/2 ST, AUSTIN, TX 78751-2714
(512) 419-1233
Mailing address
909 E 49TH 1/2 ST, AUSTIN, TX 78751-2714
(512) 419-1233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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