| NPI | 1922581537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D. ALTAMIRANO Counselor/Therapist 512-576-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |