| NPI | 1497209480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PAGE ENGLISH Director 817-915-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 1041C0700X) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |