| NPI | 1275986481 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SCOTT TRAVIS MARTIN Program Director Behavioral Health 214-521-5124 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 3919-3920) | 
| Enumeration Date | 2016-07-22 | 
| Last Update Date | 2016-07-22 |