| NPI | 1316495757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TANYA WILLIAMS Counselor/Sole Proprieter 512-803-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 70582) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 70582) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |