NPI | 1093845588 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD FREEMAN Owner 254-634-4244 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J4127) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-11-02 |