| NPI | 1891105292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BECKER JONATITIS Director Of Clinical Services 214-886-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55023) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12258) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-04-21 |