| NPI | 1447889274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROADWAY Chief Quality Officer 254-760-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-01-19 |