| NPI | 1639267164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. DIMLER Director 210-614-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14338) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00174) |
| 225700000X Massage Therapist (Licence: TX 028861) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |