| NPI | 1417433749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELIZABETH STAFFORD Owner 214-674-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63341) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |