USAF

NPI # 

Practice Address:

2200 Berquist Drive, Suite 1 , Attn: Credentials

Jbsa-Lackland, TX, 78236-9908

Practice Phone:

210-292-6707

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X