| NPI | 1033925789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI L PENKAVA President 210-867-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 208000000X Pediatrics | |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2024-12-07 |