| NPI | 1265615827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LEWIS GERRON Recreation Therapy Specialist 817-570-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 26735) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |