| NPI | 1467127225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA WEDEL Owner/Clinical Director 817-721-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |