NPI | 1033359013 |
---|---|
Entity Type | Organization |
Authorized Contact | LINCOYA DANESE YOUNG Executive Director 817-690-3421 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 101YP2500X) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2009-03-03 |