| NPI | 1598051443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI LYNNE DAVIDSON Psychotherapist 210-414-7558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S06714) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 53037) |
| 1041C0700X Social Worker, Clinical (Licence: TX S04352) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |