| NPI | 1427542125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE RENAE WILSON Director Of Operations 972-200-4023 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 76568) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |