| NPI | 1700245859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HILTON BIRD Owner 214-562-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 5160) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |