| NPI | 1609196773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALLEN SAMFORD Partner 210-237-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4940) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |