| NPI | 1427658954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA M HUDSON Licensed Clinical Social Worker 210-704-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-11-24 |