| NPI | 1164760518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NEWSOM Owner; Practitioner 972-696-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 801696071) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2019-04-24 |