| NPI | 1710865498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH BOLDEN Managing Member 214-351-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |