| NPI | 1154982635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE CHRISTOPHER MILLER Clinical Psychologist 210-219-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-09-02 |