| NPI | 1043929284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GOODIN President 512-632-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |