| NPI | 1003687773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL KIRKLAND Enrollment COO Rdinator 469-893-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-06-09 |