| NPI | 1336459551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA Y BRADLEY Billing Specialist 325-658-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 32054) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |