| NPI | 1245029644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIATTA MORGAN Licensed Clinical Social Worker 682-268-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |