| NPI | 1558801175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIAN DESMARAIS Owner/Founder 972-767-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 70987) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |