| NPI | 1790157832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAMPBELL MCGINNIS Manager 512-452-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202579) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |