| NPI | 1669132395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ROSAGE Owner 512-650-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |