| NPI | 1053664664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE Y JOHNSON Director Of Client Services 210-316-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical (Licence: TX 32426) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-12-12 |