| NPI | 1902183577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY KYLE MYERS Owner And Operator 512-331-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 101YP2500X Counselor, Professional (Licence: TX 63765) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2025-10-15 |