| NPI | 1588470033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL DAVIS ALFRED CEO/Provider 214-909-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-06-27 |