| NPI | 1982006607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY A STEPHENS Counselor 214-926-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4367) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |