| NPI | 1699163055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RODRIGUEZ-SIUTS Psychologist 210-296-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 4399) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |