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 |