| NPI | 1710361449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE STORY Owner/CEO 325-439-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 71217) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |