| NPI | 1386188738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD N UDDIN Owner 817-328-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX M8396) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |