NPI | 1245616531 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS THOMAS LORENC Owner 972-313-5742 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 62073) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2015-08-10 |