| 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 |