| NPI | 1407877293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA GUTIERREZ Clinic Director 915-542-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16474) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-09-28 |