| NPI | 1740504836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND S MAXON Texas Social Worker 972-289-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 22799) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |