| NPI | 1568265205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA KUSHALIYEVA Director 214-802-0224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-09-11 |