| NPI | 1154809275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN JOHNSON Owner 817-988-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |