| NPI | 1174956700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FREEDENFELD President 817-312-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 5462) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |