| NPI | 1093214553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE D FARRIS Medical Billing & Credentialing Spe 210-833-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69841) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |