| NPI | 1972687119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Executive Director 254-752-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 2007020591) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-03-05 |