| NPI | 1588162119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE MARLOU BURKART Therapist Manager 817-897-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52543) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-05-08 |