| NPI | 1831799865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RENEE SMITH Licensed Clinical Social Worker 210-929-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-07-20 |