| NPI | 1013688498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A CABRALEZ Clinical Director 830-279-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-07-28 |