| NPI | 1124492756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLYNN O'MALLEY Division Director 274-713-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: TX 36111) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |