| NPI | 1790556660 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DELICIA S MCLEAN Psychologist/Operator 512-364-8882  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2024-01-10 | 
| Last Update Date | 2024-01-10 |