| NPI | 1710992417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO SALAZAR Owner 210-875-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: TX M0552) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |