| NPI | 1568977700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEYLIN BURLINGAME Therapist/Owner 915-216-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64903) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |