| NPI | 1912771338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PEYTON Clinical Director 210-920-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |