| NPI | 1396209052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SHOPE Owner/Clinical Director 512-263-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |