NPI | 1336408301 |
---|---|
Doing Business As | VISTA HEALTH TEXARKANA RSPMI |
Entity Type | Organization |
Authorized Contact | KYLE NAPLES CEO 479-521-1427 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-05-11 |