| NPI | 1306381827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA MIRELES Therapist 817-455-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 51649) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |