| NPI | 1447971122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAUANIA CHARLES CEO 210-392-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |