| NPI | 1265511174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAM BALCOMB Executive Director 325-572-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TX 549-A) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |