| NPI | 1730621483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN HOWARD Owner 214-205-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-12 |