| NPI | 1699540534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL BERRY Manager 469-915-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-01-13 |