| NPI | 1073030052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAWKINS Director 210-421-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19907) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |