| NPI | 1578252003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA BLANKENSHIP Member 817-290-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-01-03 |