| NPI | 1154562031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAT E MANGUM CEO 214-692-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32981) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 15520) |
| 103T00000X Psychologist (Licence: TX 33427) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |