| NPI | 1710384631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ARIEL KOPLIN Licensed Mental Health Counselor 210-865-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 700915) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP126831) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |