| NPI | 1245729672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZURE DEE HARGIS Counselor 469-451-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61346) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |