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 |