| NPI | 1295953156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WAYNE ROGERS Licensed Clinical Social Worker 806-354-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |