| Organization Name: | ROY MAAS' YOUTH ALTERNATIVES, INC. |
| NPI Number: | 1083774046 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA B KELLY (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 121 Old San Antonio Rd Boerne |
| State: | TX US |
| Postal Code: | 780063415 |
| Phone Number: | 8308162425 |
| Fax Number: | 8302498714 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |