| NPI | 1972872836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLEVELAND MUNCRIEF Clinical Manager 972-296-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 5099) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |