| NPI | 1306269949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET V MORENO President 210-279-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 600172) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |