| NPI | 1366865370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASKELL STEPHEN COOPER Managing Member 936-622-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 34017) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-02-14 |