| NPI | 1487917274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL G CORDOVA President 817-705-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51542) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |