| NPI | 1952077703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADAWN ALCORN Owner 210-777-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-08-18 |