| NPI | 1518012830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA BERENICE VASQUEZ Executive Director 210-680-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-20 |