| NPI | 1790031060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTILIK President 469-363-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 61514) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |