| NPI | 1124664123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSALYN YOUNG Business Operations Director 817-997-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-01-06 |