| NPI | 1285116392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RAY Executive Director 214-432-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 52304) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-06-19 |