| NPI | 1003330200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA PATRICIA CLARK Chief Executive Officer 469-653-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 69323) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 69323) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-08-17 |