| NPI | 1073767331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBISON Program Administrator 972-898-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 27423) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |