| NPI | 1194171132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PARKER Therapist 214-850-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 69974) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |