| NPI | 1568824142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN C HOPPER Owner 817-274-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX H5512) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |