| NPI | 1881059079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPIKA BHARGAVA Owner 903-892-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 4145-4147) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2017-02-10 |