| NPI | 1770510075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GROVE Executive Director 214-520-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S18803) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-05-31 |