| NPI | 1023483658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUNT SARGENT Owner 210-255-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX H3342) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-02-15 |