| NPI | 1184112088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ELAINE CONLEY Owner 214-435-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 802806398) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-06-16 |