| NPI | 1699830315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOSBY KING Clinical Director 214-489-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1944-c) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |