| NPI | 1932921590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATESHA SMITH-ISABELL CEO 469-547-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |