| NPI | 1568828762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODDEY O EJUWA Director 214-725-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2024-11-21 |