NPI | 1982440400 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA VILLASENOR NARDINI Managing Member 210-201-2656 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |