| NPI | 1063282929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KIRBY Clinical Psychologist 817-381-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-16 |