| NPI | 1265937924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEESHA LEQUAN CHARLES Licensed Clinical Social Worker 972-415-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40801) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-12-15 |