| NPI | 1649813718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DEAN CEO 512-222-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-10-27 |