NPI | 1407181605 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL NONNEMACHER Owner 817-600-8747 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2009-10-06 |
Last Update Date | 2009-10-06 |