| NPI | 1861014623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN SMITH President 210-421-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| 103TF0200X Psychologist Forensic | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |