| NPI | 1093385684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWIN CORNE Owner/Director 940-704-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |