| NPI | 1184348922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN MARIE ALEIADIH Owner 512-078-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-07-12 |