| NPI | 1982990735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE MCFADDEN Owner 210-748-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |