| NPI | 1922892199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL NELSON Clinical Practice Manager 210-459-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-05-08 |