| NPI | 1801632351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE SERPA CEO 214-793-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-06-23 |