| NPI | 1326579251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PALMER LAHAYE Practice Manager 210-908-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2019-02-05 |