| NPI | 1639373566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO BASURTO President 915-779-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40581) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |