| NPI | 1609530476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DIANE MITCHELL Authorized Official 817-533-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-01-18 |