| NPI | 1457726499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA ERICKSON Owner 210-257-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2018-07-09 |