| NPI | 1982929485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L CANTU President 210-615-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX M9904) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX M9904) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-04-30 |