| NPI | 1386966323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA Y JOHNSON Administrator 214-405-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1013140581) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |