| NPI | 1164755807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIS BEATRICE NEWTON Therapist I 915-562-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40739) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |