| NPI | 1063966398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A ROE SAINZ Licensed Mental Health Counselor 512-573-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 0180941) |
| Additional Taxonomies | 251S00000X (Licence: NM 0180941) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |