| NPI | 1417472911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY EDWARDS Owner 512-964-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.014574) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-25 |