| NPI | 1639568991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SEROUSSI Do 512-944-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |