| NPI | 1043304298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO I ORTIZ CEO 940-591-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 32019694572) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |