| NPI | 1255412789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MINCHER Senior VP Revenue Cycle 682-236-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: TX 000431) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-10-21 |