| NPI | 1255010948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA JEAN LEDEZMA Owner 210-326-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |