| NPI | 1043404841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. DIMLER Counselor 210-614-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 21650) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |