| NPI | 1699163485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WURTH Secretary 210-973-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12744) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |