| NPI | 1225763568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M BROCK Clinical Director 817-729-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2026-07-08 |