| NPI | 1578101127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Director Of Client Experience 210-598-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-11-07 |