| NPI | 1700739661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALITHA C MOORE Managing Member 469-713-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-02-19 |