| NPI | 1205462413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TIMPSON Office Manager 512-600-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |