Trauma Detox Pllc
NPI #1043862246 in Georgetown, Texas
Provider Information
- NPI Number
- 1043862246
- Entity Type
- Organization
- Organization Name
- Trauma Detox Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Jul 9, 2019
Practice Location
- Address
- 3613 WILLIAMS DR STE 1006
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-1376
- Phone
- (512) 796-5059
Authorized Official
- Name
- DANIELLE WEST
- Title
- MANAGING PARTNER
- Phone
- (512) 796-5059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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