NPI | 1215580485 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN LOFTIES Owner 817-821-6333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |