| NPI | 1861639577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L RUSSELL Director/Counselor 210-490-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17708) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |