| NPI | 1558190405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RENEA GRAY CEO 469-441-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 273R00000X Psychiatric Unit | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-12-08 |