| NPI | 1386801876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHIRING DODGE Lcsw 214-808-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 21865) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-02-09 |