| NPI | 1265964407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABE CHAMBERS President 469-270-0700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 103TR0400X Psychologist Rehabilitation | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities | |
| 222Q00000X Developmental Therapist | |
| 225XN1300X Occupational Therapist Neurorehabilitation | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |