| NPI | 1205264256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LENAE WHITE President 469-471-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TX L7601) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-06-09 |