| NPI | 1114208733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. NEIL JACOBSON Owner 972-248-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G7244) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |