| NPI | 1992215123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SARAH LUNA Owner 210-417-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 56573) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |