| NPI | 1992072342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB NOVICK Director Of Clinical Services 972-690-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 35110) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |