| NPI | 1962129288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKEOMA COOPER Practice Manager 214-272-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-11-21 |