Organization
FAMILY COUNSELING AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LOUIS WOHL LCDC (EXECUTIVE DIRECTOR)
(361) 664-5782
Entity
Organization
Contact information
Practice address
73 N REYNOLDS ST, SUITE 5, ALICE, TX 78332-4933
(361) 664-5782
Mailing address
73 N REYNOLDS ST, SUITE 5, ALICE, TX 78332-4933
(361) 664-5782
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802323165
FILE NUMBER
TX
01
—
32058706535
TAXPAYER NUMBER
TX
Enumeration date
12/21/2015
Last updated
12/21/2015
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