| NPI | 1720784259 |
|---|---|
| Former Legal Business Name | COLLEGIATE BEHAVIORAL HEALTH ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SHARON BLACK Billing Mgr 214-579-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |