| NPI | 1881179315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD COLE Certified Professional Biller 210-264-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |