| NPI | 1265838387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA M SOILEAU Counselor 972-522-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 37028) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |