| NPI | 1265665384 |
|---|---|
| Doing Business As | FULL LIFE OUTREACH CENTER |
| Entity Type | Organization |
| Authorized Contact | REGINALD BENJAMIN President 214-791-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 801062647) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-06-13 |