| NPI | 1649588799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALAN WARD President 469-744-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 62855) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |