| NPI | 1417554460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID ROMERO CEO 512-851-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |