| NPI | 1841815339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAINETTE JONES Executive Director 469-297-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X |
| 251X00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-01-05 |