| NPI | 1891078382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYISHA LONG Social Worker 214-886-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41518) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |