| NPI | 1366082240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE D CARBERY Owner 214-766-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |