| NPI | 1518679141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CASOLA Director 210-940-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-02-13 |