| NPI | 1568144723 |
|---|---|
| Doing Business As | CANVAS OUTPATIENT |
| Doing Business As | CANVAS OUTPATIENT, PLLC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY STAFFORD Owner/Director 214-674-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-06-25 |