| NPI | 1063286839 |
|---|---|
| Doing Business As | 210 COUNSELING |
| Entity Type | Organization |
| Authorized Contact | EDWARD C REYES Owner 210-393-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |