Organization
INNOVATIVE THERAPY BY RC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSITA CANTU LCSW (THERAPIST/OWNER)
(210) 563-1043
Entity
Organization
Contact information
Practice address
9263 ENCINO VLG, SAN ANTONIO, TX 78250-4937
(210) 563-1043
Mailing address
9263 ENCINO VLG, SAN ANTONIO, TX 78250-4937
(210) 563-1043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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