| NPI | 1720229743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY W TAYLOR Program Director/Senior Counselor 469-226-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 10826) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 10826) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |