| NPI | 1932687852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M NICHILO Pmhnp Bc 830-446-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9456593) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |