| NPI | 1417030768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES I MORRISON Practice Administrator 972-964-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 009617) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-06-11 |