| NPI | 1689216616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE RYAN CARDIN Founder/Owner/Manager/Provider 210-527-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-07-06 |