| NPI | 1902317050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEROGE NEBE Administrator 214-221-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-04-14 |