| NPI | 1942592779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN GAMALIEL LEE Managing Member 972-850-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX N2169) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |