| NPI | 1043719743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO PEREZ Sole Membeer 210-481-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55928) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-04-17 |