| NPI | 1518590603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL GARNETT Records And Finance Manager 210-286-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-18 |