NPI | 1932882800 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL BOYLE Director, Credentialing 512-765-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |