| NPI | 1154780047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MANDELL Operations Administration 214-893-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 42032) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |