| NPI | 1679606701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH LEWIS Credentialing 210-302-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-08-07 |