| NPI | 1154853992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JETHER CHRISTIAN FARINO CEO 512-550-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX R1749) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-11-13 |