NPI | 1215706973 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIODUN ADELOWO Member 817-677-0750 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-21 |