| NPI | 1215389655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH TITUS VANCE President/CEO 214-228-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-07-21 |