| NPI | 1679773071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN CLINE Board Certified Behavior Analyst 214-324-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1073339) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 1073339) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 1073339) | |
| 251E00000X Home Health (Licence: TX 1073339) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |