NPI | 1063530301 |
---|---|
Other Name | THE REHAB GROUP |
Entity Type | Organization |
Authorized Contact | JESSE C INGRAM Licensed Psyhologist CEO 214-339-2047 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 2-3078) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-3078) |
103TC0700X Psychologist, Clinical (Licence: TX 2-3078) | |
103TC1900X Psychologist, Counseling (Licence: TX 2-3078) | |
103TR0400X Psychologist, Rehabilitation (Licence: TX 2-3078) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2010-07-21 |