| NPI | 1053861740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIDI HUDSON KIDDER President 214-232-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 34293) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2022-01-21 |