NPI | 1427666353 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHIAUS SUIRE Owner 512-952-0295 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-07-16 |
Last Update Date | 2021-07-16 |