NPI | 1629391198 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE HOPPER Scheduling Manager 817-882-9611 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 2012118) |
Enumeration Date | 2010-03-11 |
Last Update Date | 2010-03-11 |