| NPI | 1861262875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JENNIFER PEASRON Owner/Clinical Director 210-851-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |