| NPI | 1336327626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WALDEN Practice Administrator 512-392-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 00365) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |