NPI | 1154840718 |
---|---|
Entity Type | Organization |
Authorized Contact | ALTON K BARTON Administrator 281-773-8837 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3670) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-14 |