| NPI | 1023625894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEMELDA D. CARR Adm 817-473-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 291U00000X Clinical Medical Laboratory | |
| 363L00000X Nurse Practitioner | |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 364S00000X Clinical Nurse Specialist | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2021-07-30 |