| NPI | 1750426763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LANE Owner 210-826-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX D1698) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |