| NPI | 1356926661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PILLAY-JOHNSON Access Manager 210-461-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-09-29 |