| NPI | 1891550166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE CATHERINE LOUCKA Founder, Clinician 210-526-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |