NPI | 1093173163 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RANDY INGRAM Owner/Director 214-396-3848 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 72488) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |