| NPI | 1164760518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NEWSOM Clinical Director/Owner 972-696-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 801696071) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2024-07-12 |