| NPI | 1851821540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA E HESTON Owner 469-796-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 202039) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-09-26 |