| NPI | 1982745592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE PETER PEROTTI President 210-310-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-2336) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |