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 |