| NPI | 1518499748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY ATKINS Site Director 469-341-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 75817) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |