| NPI | 1841408184 |
|---|---|
| Doing Business As | BACODA |
| Entity Type | Organization |
| Authorized Contact | DANIEL GARZA Director Of Core Services 281-212-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 11988) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6467) |
| 106H00000X Marriage & Family Therapist (Licence: TX 3691) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-07-31 |