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 |