| NPI | 1689127169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIFFIN MULCAHEY COO 512-900-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |