| NPI | 1619849676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNN DETTY Sr Director, Med Staff Service 210-450-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |