| NPI | 1992267454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZA OMER JACKSON Licensed Clinical Social Worker 713-933-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |