| NPI | 1952485195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMPSON Executive Director 254-752-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TX 2007020591) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-03-05 |