| NPI | 1487055992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO RODRIGUEZ Owner 210-788-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2021-03-08 |