| NPI | 1831503457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHENNA GILLMORE Treatment Development Director 469-892-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-11-20 |