| NPI | 1407128218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LYSELL POLK CEO 210-857-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX M7529) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-05-25 |