| NPI | 1669110623 |
|---|---|
| Doing Business As | SPG PM2 SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAWN PATRICK GALLAGHER Psychiatric Mental Health Np/Owner 210-380-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |