| NPI | 1255741104 |
|---|---|
| Doing Business As | MAM JOHNSON COUNTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KINCAID President/CEO 817-447-3001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |