NPI | 1003676834 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY WEBB Director Rcm 469-688-7686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-03-20 |