| NPI | 1356610588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE DENISE DONOFRIO Owner 972-380-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 20652) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |