| NPI | 1881074110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIA KUDISCH Director Of Operations 956-800-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-01-25 |