| NPI | 1700276375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA HAYES ROWE Owner 682-556-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 18630) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |