| NPI | 1225508872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CAROL PARITI Business Development Manager 682-888-2724 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |