| NPI | 1497952949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE MILLER Clinical Director 210-219-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 25472) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2012-12-28 |