| NPI | 1568698785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE VILLARREAL President Of The Board 817-416-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |