NPI | 1245520683 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY GBENGA FADIPE Program Manager 832-875-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: TX 261QM0801) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2011-05-25 |