NPI | 1205502754 |
---|---|
Entity Type | Organization |
Authorized Contact | AQUEELAH R COLLIER Owner 817-914-3251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2021-08-16 |
Last Update Date | 2021-08-16 |