| NPI | 1033053053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARESSA L WHITE Owner 469-397-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-04-18 |
| Last Update Date | 2026-04-20 |