| 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 |