| NPI | 1609168111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GOWEN Licensed Clinical Social Worker 210-219-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 26712) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |