| NPI | 1457799330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER INGRAM CEO 210-787-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-11-28 |