| NPI | 1518663582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WU Director 214-659-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |