| NPI | 1992385033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S ARNOLD-BULLS Counselor 817-386-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |