| NPI | 1730965088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY O VILLARREAL Credentialing Specialist 210-633-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-10-19 |