| NPI | 1033750096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROOS Owner 972-509-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |