| NPI | 1386088912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M MATHERNE Owner 210-380-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2017-05-16 |