| NPI | 1982045332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M SKLAR Lcsw 817-730-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 36579) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |