| NPI | 1811045859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY C MARTIN Owner 940-723-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-05-06 |