| NPI | 1467704288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA P COTTINGHAM Owner/Program Manager 214-682-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |