NPI | 1497011456 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK PIPKIN Chief Executive Officer 254-776-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 9878) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3023) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2012-04-04 |