| NPI | 1467647891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEAN FREY Psychologist 512-358-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 31405) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |