Organization
AUSTIN TRAUMA THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ANZALDUA LCSW (MANAGING DIRECTOR)
(512) 270-8215
Entity
Organization
Contact information
Practice address
111 RAMBLE LN STE 120, AUSTIN, TX 78745-2281
(512) 270-8215
Mailing address
111 RAMBLE LN STE 120, AUSTIN, TX 78745-2281
(512) 270-8215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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