| NPI | 1265157622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA LASHONE WASHINGTON Agcns Bc 210-874-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2300X Clinic/Center Primary Care | |
| 364S00000X Clinical Nurse Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-12-11 |