| 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 |