| NPI | 1225677479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VASSELL Owner 210-598-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |