NPI | 1043972599 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAMEKA GRANT Owner/CEO 214-493-2313 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2021-10-12 |
Last Update Date | 2021-10-12 |