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 |