| NPI | 1699382663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ANDRES VARGAS Owner 210-837-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-07-13 |