| NPI | 1396114286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MONEKE CEO 817-366-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-12-24 |