| NPI | 1235986878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL J TREVINO Licensed Professional Counselor 512-483-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |