| NPI | 1265772156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA A SANTILLAN Counselor 210-274-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 67762) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |