| NPI | 1801267703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE O'SILAS Clinical Director 972-755-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: TX 110891) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2017-10-16 |