| NPI | 1043917719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GERACIE A VP Clinical Excellence 817-242-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-06-30 |