| NPI | 1437631892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TAGLIONE Owner 214-404-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 69809) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |