| NPI | 1942739073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE BRADLEY-HARMON Owner 214-810-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 70511) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |