| NPI | 1013154707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE CLARKE LAROE Psychiatrist/President 830-625-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J6537) |
| Additional Taxonomies | 2084P0805X (Licence: TX J6537) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |