NPI | 1174089569 |
---|---|
Doing Business As | CHANGES MCKINNEY |
Entity Type | Organization |
Authorized Contact | SAMANTHA CASTLE Market CEO 972-428-0527 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-11 |