| NPI | 1730492497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYANSU PATEL President 512-302-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |