| NPI | 1720534399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL JONES Practice Manager 903-271-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56804) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |