| NPI | 1285395301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRISKA CANDICE RUCKER Chief Executive Officer 682-757-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |