| NPI | 1811703788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI P ARADHYULA Member/Manager 512-240-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-11 |