| NPI | 1922368356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN IGNACIO CAMPOS Manager 210-380-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX K8047) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |