| NPI | 1497633747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK B. WILLIAMS Mental Health Therapist 512-619-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-09-11 |