NPI | 1124879762 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA HOLT Clinical Co Director 972-885-0106 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |