| NPI | 1760354781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MILLER Owner/Operator 210-343-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2026-04-06 |