| NPI | 1730712126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEDA WARREN Member 972-876-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |