| NPI | 1285474510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA ROSAS Owner 682-230-7139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 273R00000X Psychiatric Unit | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |