| NPI | 1417463274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL MYERS Authorize Office Official 512-331-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2021-01-05 |