| NPI | 1780994137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E ORNES Sole Proprietor 210-488-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 64070) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |