| NPI | 1609311455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A MARGRAVES Managing Partner 512-569-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 39121) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-08-20 |