NPI | 1417310988 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BLAINE MEADOR Owner 214-674-8806 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 21056) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |