| NPI | 1679466585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANA LYN WILLIAMS Provider 469-454-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |