| NPI | 1679034755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRAKE Owner 512-665-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-01-25 |