| NPI | 1750079059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL SHYETTE BAKER Owner/ Program Director 469-475-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |