| NPI | 1346723418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE L DAVIS Owner 512-766-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-01-07 |