| NPI | 1760995062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA JEAN ROSTON Licensed Clinical Social Worker 214-872-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62852) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-10-18 |