| NPI | 1649640749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE ASHWORTH Executive Director, Outpatient Serv 972-969-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 13829) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |