| NPI | 1871877290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA GARCIA CEO 210-385-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60445) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: TX 60445) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |