| NPI | 1942455613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DELORES WHITE-MUHAMMED Owner 214-601-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 50248) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2009-03-26 |