| NPI | 1124534722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEFFERSON President 469-300-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51230) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |