| NPI | 1326681354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RYAN WELLBORN President 817-203-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-10-09 |