ELVIA RIVERA BLACK

AUSTIN, TX
NPI1700924453
Former NameELVIA TARIN BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  7953)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
MS. ELVIA RIVERA BLACK LCDC
1643 E 2ND ST
AUSTIN, TX 78702-4411
Phone number: 512-804-3659
Mailing Address
MS. ELVIA RIVERA BLACK LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-445-7787