| NPI | 1518497809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE DELGADO MACIAS Owner 469-294-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX 71953) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-12-22 |