| NPI | 1285329128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE UCHENNA Np/Director 972-905-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-09-04 |