| NPI | 1568282812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE KAY HEIDELBERG Co Owner 830-264-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2025-01-13 |