| NPI | 1053408658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CONNOLLY BURDITT Sole Proprietor 512-322-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 000209) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-06-09 |