| NPI | 1598085672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L. DOUGLAS Owner/Member Manager 817-228-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 30116) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-16 |