| NPI | 1396902524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN RHODES Owner 817-233-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 17947) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |