| NPI | 1053545509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE RENEE LOZANO Owner 817-488-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 12584) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-10-09 |