| NPI | 1992248504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES DOROTHEA OSBORN Clinical Director 972-994-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 16632) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-03-08 |