| NPI | 1184498016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN VILAYVANH CEO/President 214-506-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 163W00000X Registered Nurse | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |