| NPI | 1164802674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WESTBROOK Therapist 972-670-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 73483) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-08-13 |