| NPI | 1174898910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA MONIQUE CARR Licensed Clinical Social Worker 512-297-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 27129) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2014-11-04 |