| NPI | 1144609827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LEE MEAD Managing Member 210-202-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 36950) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-02-13 |