| NPI | 1083765960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PENN HUNDLEY Executive Director 972-644-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-04-30 |