| NPI | 1144928037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL GREEN CEO 210-627-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| 173000000X Legal Medicine | |
| 175T00000X Peer Specialist | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 251B00000X Case Management | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-03-14 |