| NPI | 1619645975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA T GARCIA President 830-443-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-14 |