| NPI | 1194104695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL R CLARKE CEO/Counselor 210-380-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61232) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |