| NPI | 1841025988 |
|---|---|
| Former Legal Business Name | FAMILY & YOUTH THERAPY CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | BILL LEE DEGGS President 512-923-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |