| Out Youth | |
|
909 E 49th 1/2 St Austin TX 78751-2714 | |
| (512) 419-1233 | |
| Not Available |
| Full Name | Out Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 909 E 49th 1/2 St, Austin, Texas |
| Authorized Official Name and Position | Aubrey Wilkerson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5124191233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Youth 909 E 49th 1/2 St Austin TX 78751-2714 Ph: (512) 419-1233 | Out Youth 909 E 49th 1/2 St Austin TX 78751-2714 Ph: (512) 419-1233 |
| NPI Number | 1558603472 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558603472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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