| NPI | 1578080776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MECHELLE NELSON CEO/Managing Director 817-938-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX 600085) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |