| NPI | 1770399529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELAWNA KIRBIE Owner 254-224-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |