NPI | 1275142739 |
---|---|
Doing Business As | 92 REASONS |
Entity Type | Organization |
Authorized Contact | SOPHIA CANNON Directr Of Clinical Services 469-986-9629 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |