| NPI | 1104408681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ROBLES Owner 512-961-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-04-24 |