| NPI | 1366990962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANSHA GARDNER Owner 972-652-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 70922) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |