| NPI | 1427288257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY ORB SMITH Lcsw, Pa 254-526-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 24960) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |