| NPI | 1578757910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARIE HENNIS Licensed Profesional Counselor 210-725-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20064) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2020-03-04 |