| NPI | 1184249708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FILZA KHAN Sole Member/Provider 817-823-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-01-16 |