| NPI | 1093185332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY WILLIAMS Owner 214-364-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 68295) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |