| NPI | 1790410652 |
|---|---|
| Doing Business As | MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SONJA COUSAR CEO/ Therapist 512-745-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |