| NPI | 1083161236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GARRISON Owner 469-708-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 53280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 53280) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-03-16 |