| NPI | 1952495467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND C HAWKINS Director 512-469-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TX 21620) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-08-10 |