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 |