| NPI | 1144673849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CHRIS BRADLEY Owner 806-236-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56497) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |