| NPI | 1326702879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUSTIN QUINTANA Lead Clinician/Practice Owner 956-410-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2024-09-30 |