| NPI | 1053877688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RAAB Chief Financial Officer 469-968-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-10-29 |