| NPI | 1376428649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE LEWIS President 469-345-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2026-01-16 |