| NPI | 1770250326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ZAWISZA Owner/Lcsw S 817-953-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |