| NPI | 1104556364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L PEDERSEN Owner/Psychotherapist 512-963-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2022-06-12 |