| NPI | 1285761999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISAND LE ROY Associate Executive Director 817-335-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX na) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-03-30 |