| NPI | 1104307834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A BOSKIND CEO Owner 210-224-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101265222) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-12-11 |