| NPI | 1881120459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI D MILLER-EARL Owner 936-715-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11031) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2020-02-09 |