| NPI | 1558100222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LEITH COO 512-270-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |