| NPI | 1326996190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RINEHART Credentialing Specialist 972-640-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2026-03-18 |
| Last Update Date | 2026-07-08 |