| NPI | 1457038721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI MODY-BAILEY Chief Medical Officer 210-431-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |