NPI | 1184864944 |
---|---|
Entity Type | Organization |
Authorized Contact | ALECIA GAYLE MCDANIEL Owner/Operator 325-232-6247 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 18186) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-03-05 |