| NPI | 1619526902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTAL FINKE CFO 512-296-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-11-14 |