| NPI | 1073056024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA LOGAN Director 972-895-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 68834) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |