| NPI | 1811314925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA REID Owner/Sole Member 972-885-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX M6848) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |