| NPI | 1376837054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ZITO Director 512-422-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201078) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |