NPI | 1205248150 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA KELLAM Owner/Psychologist 817-313-7899 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 32518) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-27 |