| NPI | 1669081576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN President 512-947-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |