| NPI | 1104658335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LAMBARIA Clinical Director 210-290-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |