| NPI | 1194921056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIENDO Gove RN Ment Programs Manager 210-938-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-08-07 |