| NPI | 1851544738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CAROL LOVELAND Director 830-981-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62294) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2018-06-28 |