| NPI | 1194240275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINOT PRATT CFO 210-798-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |