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 |