| NPI | 1376038786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER JAMES President 972-415-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 75372) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |