| NPI | 1699071985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L JEFFERSON Owner 281-785-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19561) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |