| NPI | 1548670672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN REES Owner 817-715-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX n9362) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |