| NPI | 1033662317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN HICKS CEO 254-304-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 52036) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2022-08-15 |