| NPI | 1730791088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN IRELAND HUCKLEBERRY Owner/Psychiatric Nurse Practitione 210-796-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-08-09 |