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 |