Organization · Type 2 NPI
Centered Youth Clinic and Consulting PLLC
Health Service Clinic/Center · Manor, TX
NPI number
1306420013
Active
Practice location
14008 Shadowglen Blvd Ste 300
Manor, TX 78653-3406
Mailing address
20617 Fairleaf St
Pflugerville, TX 78660-2664
Other practice locations
- 20617 Fairleaf St, Pflugerville, TX 78660-2664 · (512) 842-9655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1306420013
Centered Youth Clinic and Consulting PLLC's National Provider Identifier is 1306420013, issued on May 9, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Manor, TX. The record was last updated on May 9, 2021.