| NPI | 1154027308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BREEN Director 512-661-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-11-20 |