| NPI | 1780570903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NICHOLE CROSSLAND Managing Member 361-563-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |