| NPI | 1992684146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAN VALDES Owner 214-790-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |