| NPI | 1063728855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL PAUL CASTELEYN Chief Of Staff 210-697-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2012-01-24 |