| NPI | 1689043747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD WILSON Executive Director 214-709-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |