| NPI | 1154538429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R TOMLINSON Medical Director 940-322-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX C6537) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-12 |