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 |