| NPI | 1225763709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELISA PEDERSEN Clinical Psychologist 512-815-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |