| NPI | 1922642040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANBARASU NACHIMUTHU Chairman & CEO 903-870-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-04-04 |