| NPI | 1104041425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L LAVASSAR Business Office Director 903-793-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: AR AR3925) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |