IDENTITY DEVELOPMENT COUNSELING AND FAMILY RESOURCE CENTER is a professional counselor in San Antonio, TX. IDENTITY DEVELOPMENT COUNSELING AND FAMILY RESOURCE CENTER NPI is 1740458421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
21714 HARDY OAK
SUITE 104
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 490-9062
Fax: (210) 490-8843
The provider's authorized official is John Henry Koiner .
The authorized official title is Director Owner and has the following contact phone number (210) 490-9062.
The enumeration date for this NPI number is 2/14/2008 and was last updated on 4/20/2008.