NPI | 1902648454 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY SMITH Owner/Therapist 512-592-0281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-06-06 |
Last Update Date | 2024-06-06 |