| NPI | 1629848726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LEARY Co Owner 512-641-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-03-29 |