| NPI | 1134381882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN CLAY ELLISON Chief Executive Officer 817-944-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |