| NPI | 1336863513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL ANTHONY CORREA President 210-778-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-12-04 |