| NPI | 1386072338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLAN WEITZEL Owner 214-693-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: UT 187798-1205) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2017-11-27 |