| NPI | 1780270827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS CHIRINOS Director Of Outpatient Services 817-820-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-08-26 |