| NPI | 1619540671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA MILLER Owner 210-549-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-06-30 |