| NPI | 1528738978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER LEE RICHARDSON Managing Partner 210-831-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-10-21 |