| NPI | 1376124149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY BAILEY Owner 972-693-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-02-13 |