| NPI | 1275498370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DAWN AGUILAR Managing Member 210-995-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2026-02-09 |