| NPI | 1023990173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY AWUZIE Owner 210-570-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |