| NPI | 1336412840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN POECK Owner 214-609-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 16128) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 16128) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 16128) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |