| NPI | 1548752561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIE M FERNANDO Manager 281-889-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57200) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |