| NPI | 1194251694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GERBOZY Managing Member 512-763-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51898) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-03-17 |