| NPI | 1235395229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA R. JOHNSON Office Manager 512-773-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 4265) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |