| NPI | 1548303209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE DAVIES Owner 903-938-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX 636) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-01-26 |