| NPI | 1306222435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA SCRIBNER Office Manager 972-400-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 66569) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |