| NPI | 1740125897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DOTSON Licensed Clinical Social Worker 682-348-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-06-21 |