| NPI | 1144572512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULEE RENFROE Autism Network Coordinator/Casework 903-595-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 248044) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |