| NPI | 1497999254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JOHNSON Qmhp Cs 469-226-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 63935) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |