| NPI | 1316628720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DEISTER Owner 210-857-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |