| NPI | 1295330520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SPENCER IVANOV President 512-591-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |