| NPI | 1992910723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WILLIS Mental Health Social Worker 214-857-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 50681) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-01-25 |