| NPI | 1073142477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN Medical Director 512-947-2747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |