| NPI | 1235157165 |
|---|---|
| Doing Business As | SUNDANCE BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PADMANABHA RAJU INDUKURI Owner 817-222-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-03-10 |