| NPI | 1780415778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JUANITA BUTTS Owner 512-577-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171400000X Health & Wellness Coach | |
| 175T00000X Peer Specialist | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |