| NPI | 1720375686 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEPHANIE DODOO Therapist/Social Worker 512-374-1803 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53048) | 
| Enumeration Date | 2011-06-29 | 
| Last Update Date | 2011-06-29 |