| NPI | 1750711479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN ASLINIA Program Director 972-607-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |