NPI | 1790571552 |
---|---|
Entity Type | Organization |
Authorized Contact | SERESEA R MITCHELL-SMITH CEO 254-781-6772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-04-17 |