| NPI | 1699501924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE KINGCANNON CEO 214-888-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |