| NPI | 1912258559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZY GADOL ANDERSON President 214-552-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 21376) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2012-09-23 |