| NPI | 1689365827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA M RANGEL Owner 469-644-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-03-31 |