NPI | 1548749666 |
---|---|
Doing Business As | PROVIDENCE PLACE |
Entity Type | Organization |
Authorized Contact | ANGELICA NANEZ CERVANTES Chief Program Officer 210-696-2410 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |