| NPI | 1235773516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY DAVIS Owner 512-743-0243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2023-12-04 |