NPI | 1043724628 |
---|---|
Entity Type | Organization |
Authorized Contact | SUMAIYA AHMED Owner/Provider 214-223-1568 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-11-19 |
Last Update Date | 2017-11-19 |