| NPI | 1417588351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTI KC Nurse Practitioner 210-551-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2023-04-12 |