| NPI | 1235792599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOBERT STANLEY MILLER President 903-732-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-07-03 |