CHARLES WYNNE NORTH

SAN ANTONIO, TX
NPI1619217999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  6561)
Enumeration Date2013-02-22
Last Update Date2013-09-05
Business Address
Mr. CHARLES WYNNE NORTH LCDC
702 SAN PEDRO AVE
SAN ANTONIO, TX 78212-4610
Phone number: 210-299-2400
Mailing Address
Mr. CHARLES WYNNE NORTH LCDC
702 SAN PEDRO AVE
SAN ANTONIO, TX 78212-4610
Phone number: 210-299-2400
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