| NPI | 1700766847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN TAYLOR SARTOR Managing Member 214-308-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |