| NPI | 1508622333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO ANTONIO MAR Licensed Professional Counselor 210-988-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-07-22 |