| NPI | 1396540712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY LAVON WILLIAMS Clinical Social Worker 903-539-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |