| NPI | 1194889774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL PENA Program Director 214-942-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 2426-A) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |