| NPI | 1487165254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HA ALBERTI Owner 817-271-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 14637) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |