| NPI | 1407090327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES YATES Partner 871-459-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 24724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 24021) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |