| NPI | 1669146171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ATAMAH Controller 469-892-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2021-08-07 |