| NPI | 1265984157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOAN FUNCK Owner 806-791-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 10149) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-04-23 |