| NPI | 1205382918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A FARMER Therapist 817-721-8074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 24433) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |