| NPI | 1083453161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MATTHEW WHITE Psychiatrist 210-315-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2026-01-16 |