| NPI | 1821598566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNE LYNETTE VENTIMIGLIA Owner 817-874-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53329) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2021-08-05 |