| NPI | 1184971392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TRASK President 817-965-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-10-25 |