| NPI | 1053134841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HARRIER Dr 214-460-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |