| NPI | 1871673848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU MANGOLD Deputy Director 210-614-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |