| NPI | 1881108132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PATTERSON Owner 512-626-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 73790) |
| Enumeration Date | 2017-11-23 |
| Last Update Date | 2017-11-23 |