| NPI | 1780198309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JOHNSON PONE Clinical Social Worker, Owner 512-363-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20877) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |