| NPI | 1720147093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH FISK CEO / Executive Director 210-616-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-05-27 |