| Provider Type: | Behavioral Health & Social Service Providers |
| Provider Classification: | Counselor |
| Provider Specialization: | Mental Health |
| Address: |
2391 Ne Loop 410 Suite 120 San Antonio, TX 78217-5600 |
| Phone: | (210) 222-0152 |
| Fax: | (210) 222-1392 |
| Authorized Official: | Langfeld, Marshall |
| Authorized Official Position: | Cfo, Vice President |
| Authorized Official Phone: | (510) 337-7950 |
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