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 |