NPI | 1457023632 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK NICHOLAS GRAINGER CEO 469-814-9682 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-10-05 |