| NPI | 1497907166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA VASILIEVNA HARTT CEO 210-317-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX N0821) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |