| NPI | 1710732896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY STRAWTHER Director 817-371-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |