| NPI | 1477664050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DOMINIC DEBONA Clinical Social Worker 361-582-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39508) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-10-30 |