| NPI | 1750655833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD R STILLS CEO 214-379-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-06-12 |