| NPI | 1003369455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER UPTON WALTERS Licensed Vocational Nurse 903-288-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TX 320590787218) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |