| NPI | 1669178364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGIE LOGAN Office Manager 214-592-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2026-03-05 |