| NPI | 1487126272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A. BAILEY VP, Rcm And Payor Relations 972-935-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine Addiction Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2025-04-09 |