| NPI | 1831552645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MILLS Owner 972-234-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 75436) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 75436) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 75436) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |