| NPI | 1366088197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GRIZZLE Owner 903-576-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-08-04 |