| NPI | 1831739804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C BELCHER Owner 325-676-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |