| NPI | 1710681572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKURA Q WEBSTER Psychotherapist/Owner 512-588-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-08-27 |