| NPI | 1881900769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA JANE BASSILI Owner 972-762-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19671) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2011-10-27 |