| NPI | 1689138604 | 
|---|---|
| Doing Business As | SERVANT'S HEART BEHAVIORAL HEALTH CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | RYAN KIPPES CEO 214-289-4933  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2019-01-23 | 
| Last Update Date | 2019-01-23 |