| NPI | 1386503159 |
|---|---|
| Other Name | ATX PSYCHEDELIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARC GERONIMO Founder 512-940-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-01-19 |