| NPI | 1326653890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WHITE COO 830-455-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |