| NPI | 1336500693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JA'MAI L HARRIS-EDWARDS Owner 817-602-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 69336) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |