Organization Name: | THE SOUTH TEXAS CARPENTER'S HOUSE |
NPI Number: | 1326139171 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GEORGE OUTTEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 2507 Lexington Rd Beeville |
State: | TX US |
Postal Code: | 781027013 |
Phone Number: | 3613581470 |
Fax Number: | 3613545533 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 10134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |