| NPI | 1790007037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LUCCHESE MCGEEVER Clinical Social Worker 817-548-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 03920) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2013-04-04 |