| NPI | 1558764555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE PEREZ Owner/Manager 210-788-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57657) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |