| NPI | 1841792215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALISA REYES Owner, Therapist 512-703-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12526) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-05-29 |