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 |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |