| NPI | 1548967524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHRISTOPHER JOHNSON Practice Owner 972-275-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |