| NPI | 1629222161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOHRA RASHID KHAN Provider 817-545-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX H0074) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2010-02-15 |