| NPI | 1407105653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR ABBASSI Clinical Coordinator 972-260-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 12811) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2013-01-15 |