| NPI | 1194244640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRON CLARK Owner/Counselor 512-642-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 72397) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |