| NPI | 1538477583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED WILSON Billing Manager 956-369-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LCS50078247) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |