| NPI | 1508338690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE CANARIOS BARILLA CEO 214-271-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2022-08-18 |