| NPI | 1194176768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE BEADLE Neuropsychologist 940-595-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 34764) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2018-06-07 |