| NPI | 1518774173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADXI CABDI Owner 682-553-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |