| NPI | 1396354874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA L KOENIG-LANGSTON Owner 210-360-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-08-01 |