| NPI | 1376901108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA R. LANG Director, Psychotherapist 210-286-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72199) |
| 101YM0800X Counselor, Mental Health (Licence: TX 72199) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 72199) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-09 |