| NPI | 1508139320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAYDOR FRANK CODY President 214-750-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX D4073) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |