340B Drug Pricing Program Database

Name

Waterloo Counseling Center

Subdivision Name

Type

Ryan White Part A

340B ID

RWI787520

Grant Number

2 H89HA000362400

Current Program Status

Terminated

Registration Date

7/13/2018

Participating Start Date

10/1/2018

Participating Approval Date

8/27/2018

Last Recertification Date

1/28/2020

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2021
Failure to recertify

Authorizing Official

Waterloo Counseling Center, Inc.
Carol L Drennan, Executive Director
(512) 444-9922 Ext: 5124449922

Primary Contact

Waterloo Counseling Center, Inc.
Kellen VonHouser, Clinical Director
(512) 444-9922 Ext: 106

Street Address

314 East Highland Mall Blvd.
Austin, TX 78752

Billing Address
Same as Street Address