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