| NPI | 1134658347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON TOMLINSON Director 817-939-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 1184999633) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |