| NPI | 1083097513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR CARMICHAEL WYNKOOP Therapist 214-212-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0011908) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |