| NPI | 1114764198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY RENEE VIZINA Owner/Clinical Counselor 210-426-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2026-02-12 |