| NPI | 1861181059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY S SKLARK Executive Director 210-326-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |