| NPI | 1972140887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA TEAMER Owner 210-802-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-02-27 |