| NPI | 1346047560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELENA LEDFORD Director Of Practice Operations 469-765-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-08-19 |