| NPI | 1225369226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NELSON Practice Administrator 214-369-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX G5490) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-10-31 |