| NPI | 1326616715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTALYN M JASS KIRKPATRICK Owner 512-967-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-07-09 |