| NPI | 1699525246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN HAGAN Contracting Manager 512-535-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |