| NPI | 1386845915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Chief Executive Officer 903-957-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 580930) | |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA05480) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-12-15 |