| NPI | 1497493076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CARMEN PEREZ Owner 903-309-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-09-27 |