| NPI | 1164066932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA REID Partner 469-301-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |