| NPI | 1740575638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMISHA PATEL Managing Director 469-854-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 42728) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80265) |
| Enumeration Date | 2011-06-19 |
| Last Update Date | 2012-09-07 |