| 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 |