| NPI | 1205285863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LEIGH BOOTH Administrator 214-562-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 72350) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |