| NPI | 1679916829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY J DODSON Vice President 210-495-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2017-09-19 |