| NPI | 1396475463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEN WEN CHONG Licensed Psychologist 469-476-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-08-24 |