| NPI | 1033506985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA KATHLEEN ERVIN Director Of Therapy 214-616-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56129) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-06-2769) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 56129) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 19493) | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-09-15 |