| NPI | 1376928663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ROSE ALVE Practitioner 469-422-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 56596) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |