| NPI | 1285008201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M MONTALDI Psychotherapist 210-201-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57214) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 57214) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |