| NPI | 1700408655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KATHRYN BRUDOWSKY Licensed Professional Counselor 210-422-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2022-02-23 |