| NPI | 1659541308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MOFFITT Executive Director 806-747-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 33072) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |