| NPI | 1861952657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCBEE President 210-360-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 133N00000X Nutritionist |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 111N00000X Chiropractor | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |