NPI | 1366199820 |
---|---|
Doing Business As | ANA ALICIA AMORICITY POTTHAST PHD |
Entity Type | Organization |
Authorized Contact | ANA A POTTHAST Owner 210-508-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-03-04 |
Last Update Date | 2023-11-21 |