| NPI | 1447786793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD DESHAWN PEEL Executive Director 214-621-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |