NPI | 1295948875 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LINCOLN LOVELACE Clinical Director 972-264-0604 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-05-08 |
Last Update Date | 2024-11-18 |