| NPI | 1811240013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDA WILLIAMS Human Resource 214-743-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 719220) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |