| NPI | 1033444328 |
|---|---|
| Doing Business As | WEST PINES ON GOLDEN POND |
| Entity Type | Organization |
| Authorized Contact | GERALD W ROGERS Owner 806-354-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 00732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 2622) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |