| NPI | 1073593570 |
|---|---|
| Doing Business As | U.S. AIR FORCE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPER JAMES REVIS Clinical Psychologist 940-676-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 23872) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |