| NPI | 1619310646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CAMPBELL Client Services Coordinator 214-500-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-07-21 |