| NPI | 1578977468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA G. DAVIS Owner/Licensed Psychologist 210-241-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: TX 34154) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX 34154) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |