| NPI | 1386115228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM M AVILA Director 210-852-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-02-18 |