| NPI | 1730959024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FOWLER Founder 512-703-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |