| NPI | 1427875806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ROSSI Licensed Professional Counselor 512-761-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |