| NPI | 1407326366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY BUTLER Director Of Lcc 817-602-8218 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-01-07 |