| NPI | 1073227161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE MIRANDA Director Of Operations 940-736-5674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-06-08 |