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 |