NPI | 1154529766 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA P VIEREGG Owner 254-752-1183 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17187) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2020-08-22 |