| NPI | 1558145573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBERE EJIKE-ILECHUKWU Owner / Authorized Official 972-982-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-07-15 |