| NPI | 1730732496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNI FAULKNER TOSON Owner 210-570-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-12-27 |