| Organization Name: | BOYSVILLE |
| NPI Number: | 1407022858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANIS A CURRAN (DIRECTOR OF THERAPEUTIC SERVICES) |
| Mailing Address: | 8555 E Loop 1604 N Converse |
| State: | TX US |
| Postal Code: | 781092915 |
| Phone Number: | 2106591901 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 11189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |