| NPI | 1063522498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O KEARLEY CEO 512-491-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 155006301) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 00175U) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 00175U) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 454908) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 155006302) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-01-23 |