| NPI | 1679011399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY ONEAL Executive Director 214-554-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |