| NPI | 1508624743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERNAZ NASTA Owner Assistant Clinical Director 972-885-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |