| NPI | 1922624410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BETH BOLIN Licensed Clinical Social Worker 512-668-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2021-02-04 |