| NPI | 1588902639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN CRONE COO 469-892-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2014-10-27 |