| NPI | 1407594062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA JACKSON Owner/Child & Adol Psychiatrist 210-455-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-12-14 |