| NPI | 1679395982 |
|---|---|
| Doing Business As | LITTLE MOUNTAIN MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | THOMAS A DIETZ Authorized Official 210-239-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-21 |