| NPI | 1306540315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY CISNEROS Owner 210-598-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 221700000X Art Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-06-03 |