| NPI | 1063656668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN HOBART THOMAS Owner 817-633-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 25851) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |