| NPI | 1366001661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ELIZABETH MILLER Partner 512-553-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |