| NPI | 1366563231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA DAVIS COO 214-421-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 634C) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-12-08 |