| NPI | 1023595386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HERNANDEZ Md 956-267-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX L6426) |
| Additional Taxonomies | 103T00000X Psychologist |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX L6426) | |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-08 |