NPI | 1023495041 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY-JO CATHERINE NEUJAHR Practice Manager 254-690-2707 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19462) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2015-04-28 |