| NPI | 1740646926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON LANCE MUNN President 972-768-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 22687) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-11 |