| NPI | 1053280198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTON TAYLOR WEIDMAN-GUERRERO Therapist 682-233-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |