| NPI | 1477070217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LUTTS Licensed Clinical Social Worker 817-918-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-29 |