NPI | 1144833625 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTY MOLINA Business Office Director 817-447-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |