| NPI | 1093188666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA TAYLOR Medical Staff Credentialing 214-857-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 37092) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |