NPI | 1265708283 |
---|---|
Entity Type | Organization |
Authorized Contact | COLE DALTON Office Manager 940-891-4330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 00865) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2012-04-05 |