| NPI | 1518424381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA THOMAS Clinical Social Worker 469-337-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |