Organization
THE REFUGE FOR DMST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI MCKINLEY LPC (DIRECTOR OF THERAPEUTIC SERVICES)
(512) 806-0555
Entity
Organization
Contact information
Practice address
300 EAST SAINT JOHNS AVE., AUSTIN, TX 78752
(512) 806-0555
Mailing address
PO BOX 90804, AUSTIN, TX 78709
(512) 806-0555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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