| NPI | 1861673469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CHARLES MCCANN President 210-829-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-1328) |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2007-12-16 |