| NPI | 1770897241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA INGRID WILLSON Treatment Manager 972-548-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 52462) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |