| NPI | 1104994284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID JAMISON President 325-829-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 005794) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-07-25 |