| NPI | 1255937447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY O VILLARREAL Credentialing Specialist 210-633-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2022-07-20 |