| NPI | 1003037326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ALLEN Director 800-207-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: TX 24433) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-07-17 |