| NPI | 1174967798 |
|---|---|
| Doing Business As | JONATHAN'S PLACE |
| Entity Type | Organization |
| Authorized Contact | ALLICIA FRYE CEO 972-303-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |