| NPI | 1942687462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR ABBASSI Lmft S Lpc S 972-607-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 73407) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |