| NPI | 1407155419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI ALISIA PERRY Manager Member 214-293-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 32738) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |