| NPI | 1962615997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN M LOPEZ Administrator 956-968-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62639) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-08-15 |