| NPI | 1518219005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROSS PITTMAN President 682-651-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX N8058) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |