| NPI | 1245695279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON H SHEPHERD Owner 214-438-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 69977) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |