| NPI | 1205204955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M GARZA Sole Member 512-766-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX N7543) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |