NPI | 1871950170 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE MACK CEO 210-393-0763 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62743) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 62743) |
Enumeration Date | 2016-01-19 |
Last Update Date | 2016-01-19 |